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0149 Nuneosim-2 survey – a triple blind study of nursing perception to simulation training in a tertiary neonatal intensive care setting
  1. Anushma Sharma1,
  2. Alok Sharma2
  1. 1Portsmouth Hospitals NHS Trust, Portsmouth, UK
  2. 2University Hospital Southampton NHS Foundation Trust, Southampton, UK


Background Simulation was endorsed by the National Patient Safety Agency as a valuable tool for training the medical workforce in the UK.1 Multidisciplinary simulation in neonatology increases participant’s confidence in neonatal emergencies2 and may improve patient outcome.3

Method Multiprofessional neonatal simulation programme was established in the Tertiary Neonatal unit at, Southampton in 2012. A double blind cross-sectional questionnaire study was conducted within the first year to explore nursing perception to simulation.4 Simulation was reported to bedaunting. Despite their concerns, 88% of nurses wished to continue gaining simulation experience in multidisciplinary setting. Changes implemented after this survey included among others, having multidisciplinary facilitators (a doctor and a nurse for each session).18 months after introducing the changes the survey was repeated in similar settings. Triple blinding was ensured by using an independent analyst from outside the programme.

Results 71% of participating nursing staff answered. Both surveys included similar spread of nursing experience but there were 13 new recruits in the recent survey who had previous experience of hi-fidelity simulation in training. Also, substantially more staff had attended >5 sessions (21% vs 7%) and multidisciplinary sessions with doctors (62.5% vs 45.5%). As in the previous survey, they mostly found these multidisciplinary sessions very useful but daunting however, 85% comments in free text were positive including excellent, exciting, enjoyable, great learning opportunity, daunting improves with practice. Though more nurses opted to have simulation sessions separate from doctors (25% vs 12.5%) a lot of them suggested they should be only for some nursing relevant topics.

Potential impact Regular multidisciplinary simulation sessions reap benefits in terms of greater buy-in/uptake especially if changes are introduced to practice, based on feedbacks. This survey reveals that professionals value the benefits of simulation in a non-multidisciplinary setting as well, especially in less diverse scenarios. This may be taken as an opportunity to expand the simulation experience of trainers and the trained.


  1. National Patient Safety Agency-NPSA. Review of patient safety for children and young people (June 2009)

  2. Davidson SK, Hassell et al. Neonatal simulation training improves paediatric trainees’ confidence in emergency scenarios. Arch Dis Child 2014;99(Suppl 1):A64

  3. Sharma A, Gunda R. Cascading risk through multiprofessional neonatal simulation. Arch Dis Child 2014;99(Suppl 1):A35–A36

  4. Ball J, Gunda RK, Awoseyila A, Sharma A. 0149 Nuneosim Survey – a triple blind study of nursing perception to simulation training in a tertiary neonatal intensive care setting. BMJ STEL 2014;1:A67

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